| NPI | 1952943151 |
|---|---|
| Former Name | TONNETTA RENE BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA134205) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CNA134205) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |